MAGELLAN THERAPEUTIC SERVICES, LLC (NPI# 1053896266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053896266 |
| Entity Type | Organization |
| Organization Name | MAGELLAN THERAPEUTIC SERVICES, LLC |
| Practice Address |
94-1388 Moaniani St Ste 214 Waipahu HI 96797-6604 |
| Mailing Address |
94-1189 Nanilihilihi St Waipahu HI 96797-4134 |
| Practice Telephone | 8082232331 |
| Practice Fax Number | 8083561546 |
| Mailing Telephone | 8082232331 |
| Mailing Fax Number | 8083561546 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | SANDEE VILLEZA (OWNER) |
| Authorized Official Telephone | 8082232331 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Marriage and Family Counseling of Hawaii | Doing Business As Name - Organization |
| Street Address |
94-1388 MOANIANI ST STE 214 |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
| 1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
| 1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
| 1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
| 1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
| 1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
| 1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
| Find all providers in zip 96797 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777022 | Therapy With Lori, LLC | Clinic/Center | 180 Royal Dr, Kapaa, HI 96746-9683 | 2020-10-16 |
| 1861036071 | Integrative Well-being | Clinic/Center | 2600 Pualani Way Apt 3004, Honolulu, HI 96815-3940 | 2019-10-30 |
| 1366901472 | Bridgette Grant Lcsw LLC | Clinic/Center | 4435 Lower Honoapiillani Rd, 142, Lahaina, HI 96761 | 2019-03-18 |
| 1003375338 | The Journey Therapy LLC | Clinic/Center | 328 Uluniu St Ste 202, Kailua, HI 96734-2542 | 2019-03-16 |
| 1740765031 | Kessler Services, LLC | Clinic/Center | 7 Aewa Pl Ste 7, Makawao, HI 96768-8882 | 2018-10-02 |
| 1649769019 | Hawaii Clinical Psychology, LLC | Clinic/Center | 1188 Bishop St Ste 3005, Honolulu, HI 96813-3312 | 2018-05-01 |
| 1558608406 | Angela K. Wai, M.d.inc | Clinic/Center | 99-115 Aiea Heights Dr Ste 207, Aiea, HI 96701-3974 | 2013-01-12 |
| 1942465455 | Heal Counseling Center, LLC | Clinic/Center | 5257 Kalanianaole Hwy, Honolulu, HI 96821-1840 | 2008-07-23 |
| 1578615514 | Big Island Substance Abuse Council | Clinic/Center | 297 Waianuenue Avenue, Hilo, HI 96720-2438 | 2007-01-18 |
| 1811597081 | Nikki Moravec, Psyd, LLC | Clinic/Center | 1164 Bishop St Ste 1510, Honolulu, HI 96813-2817 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.